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   M C-3 55ATTO RNEY O R P AR TY W IT H O UT A TTO RNEY ( N am e, s ta te b ar n um ber, a nd a ddre ss):F O R C O URT U SE O NLYT E LE PH O NE N O .FA X N O . ( O ptio nal) :E -M AIL A D DR ESS ( O ptio nal) :A TTO RNEY F O R ( N am e):S U PER IO R C O URT O F C ALIF O RNIA , C O UNTY O F STR EE T A D DRESSM AIL IN G A D D RESSC IT Y A N D Z IP C O DEBR AN CH N AM EC ASE N AM E:CASE N UM BERO RDER T O D EPO SIT M ONEY I N TO B LO CKED A CCO UNT1. The petition of (name):as ( s p ecif y c a pacit y ):to d e posit f u nds in a b lo cke d a cco unt o rblo cke d a cco unts c a m e o n f o r h earin g o n ( d ate ):a t ( tim e):in D ept.:T H E C O URT O RDER S2. Money that belongs to (name):s h all b e d eposit e d in a n in te re st- b earin g, f e dera lly in su re d b lo cke d a cco unt o r a cco unts .3 . E ach a cco unt s h all in dic a te t h e n am e o f t h e m in or o r o th er p ers o n w ho o w ns t h e a cco unt.4 . T he t o ta l a m ount a uth oriz e d f o r d eposit , in clu din g a ny a ccru ed in te re st, is : $5. Withdrawals (check a or b):a.N o w it h dra w als o f p rin cip al o r in te re st s h all b e m ade f r o m t h e b lo cke d a cco unt o r a cco unts w it h out a w rit te n o rd er u nder this c a se n am e a nd n um ber, s ig ne d b y a ju dge, a nd b earin g t h e s e al o f t h is c o urt. T he m oney o n d eposit is n ot s u bje ct to e sch eat.b .T he b lo cke d a cco unt o r a cco unts b elo ng t o a m in or. T he m in or w as b orn o n ( d ate ): No w it h dra w als o f p rin cip al o r in te re st s h all b e m ade f r o m t h e b lo cke d a cco unt o r a cco unts w it h out a w rit te n o rd er u nder this c a se n am e a nd n um ber, s ig ne d b y a ju dge, a nd b earin g t h e s e al o f t h is c o urt, u ntil t h e m in or a tta in s t h e a ge o f 1 8 years . W hen t h e m in or a tta in s t h e a ge o f 1 8 y e ars , t h e d eposit o ry , w it h out f u rth er o rd er o f t h is C ourt, is a uth oriz e d a nd dir e cte d t o p ay b y c h eck o r d ra ft d ir e ctly t o t h e f o rm er m in or, u pon p ro p er d em and, a ll m oneys in clu din g in te re st de posit e d u nder t h is o rd er. T he m oney o n d eposit is n ot s u bje ct t o e sch eat.6 . T he p etit io ner a n d t h e p etit io ner's a tto rn ey, if a ny, s h all d eliv e r a c o p y o f t h is o rd er t o e ach d eposit o ry in w hic h f u nds a re d eposit e dunder t h is o rd er. T he d eposit o ry 's a ckn ow le dgm ent o f r e ce ip t o f t h e o rd er a nd t h e f u nds s h all b e f ile d w it h t h is c o urt w it h in 1 5 d ays of d e posit .D ate :JU DG E O F T H E S U PER IO R C O URTPage 1 o f 1F orm A dopte d fo r M andato ry U se Ju dic ia l C ouncil o f C alif o rn ia MC -3 56 [R ev. J a nuary 1 , 2 007]C ode o f C iv il P ro ce dure , § 3 72 1O RDER T O D EPO SIT M ONEY I N TO B LO CKED A CCO UNTPro bate C ode, § 3 600 a t s e q. C al. R ule s o f C ourt, r u le s 3.1 38 4, 7 .9 53 electronic form 2001-7 WWW.LawCA.com Law Publishers